Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaszmon Menderiz Blake, CSFA

Individual provider Surgical Assistant · NPI 1487353926

Jaszmon Menderiz Blake, CSFA is a Surgical Assistant in Greenville, Texas. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852
Phone: (903) 408-1200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X

Record details

NPI number1487353926
Entity typeIndividual (Type 1)
GenderMale
Credentials CSFA
Sole proprietorNo
NPI enumeratedFebruary 23, 2023
Last updated in NPPESFebruary 23, 2023
Certification dateFebruary 23, 2023
Mailing address4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852

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